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207379 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 357193 Page 1 of 1 j. ONE CIVIC SQUARE BEAVER GRAVEL CARMEL, INDIANA 46032 16101 RIVER AVENUE CHECK AMOUNT: $536.87 NOBLESVILLE IN 46060 CHECK NUMBER: 207379 CHECK DATE: 3/26/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 G1067871 536.87 OTHER EXPENSES BEAVER Beaver Gravel Corp Invoice G 1067871 16101 River Ave Date, 03/06/2012 Noblesville, IN 46062 317- 773 -0679 Page Page 1 of 1 Bill To: IShip To: CITY OF CARMEL WATER DISTRIBUTION 3450 w. 131st Street 3450 W. 131st ST., CARMEL CARMEL IN 46074 3-LDS WILL SHOW AT SITE.. y Job Type:..,,' Job Number S.O. P:O: Number Due Date Ordered Shawn 11 4/5/12 Ticket' Truck No Product No: Prod tact D6scriptlon UOM Quantity Price Ext. Amount 693292 120 Dorsey FSU FILL SAND UNWASHED Tons 20.18 4.25 85.77 693292 120 Dorsey AGGDELIVER AGGREGATE DELIVERY CH Each 1.00 85.76 85.76 693296 120 Dorsey FSU FILL SAND UNWASHED Tons 21.84 4.25 92.82 693296 120 Dorsey AGGDELIVER AGGREGATE DELIVERY CH Each 1.00 92.82 92.82 .693301 120 Dorsey FSU FILL -SAND UNWASHED Tons .21.14 4.25 89.85 693301 120 Dorsey AGGDELIVER AGGREGATE DELIVERY CH Each 1.00 89.85 89.85 Total SubTotal 536.87 Tons Sales Tax 0.00 Terms: All Accounts past due are subject to service charges at the rate of 1.5% per month. 63.16 INVOICE TOTAL 536.87 PLEASE REFERENCE INVOICE NUMBER WHEN MAKING PAYMENTS THANK YOU! Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 357193 BEAVER GRAVEL Purchase Order No. 16101 RIVER AVENUE Terms NOBLESVILLE, IN 46060 Due Date 3/20/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/20/2012 G1067871 $536.87 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same same in accordance with IC 5- 11- 10 X 1 11 .6 '1 Z -i Date Officer VOUCHER 114017 WARRANT ALLOWED 357193 IN SUM OF BEAVER GRAVEL 16101 RIVER AVENUE NOBLESVILLE, IN 46060 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code G1067871 01- 6200 -06 $536.87 Voucher Total $536.87 Cost distribution ledger classification if claim paid under vehicle highway fund